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Quarrel between insurers and medical association
31 Mar 2021 (287 views)

This Today article explains the quarrel between the Life Insurance Association and the Singapore Medical Association over the use of exclusive panels for submitting claims under the integrated plans.
https://www.todayonline.com/explainer-why-singapore...

This problem is faced in many countries. It can be solved if there is a neutral party, e.g. the government, that sets the rules and enforces the rules.

Here are some ways to handle it:

a) Set fee guidelines for each type of medical condition that are claimable under the integrated plan

b) The fee guidelines can be negotiated annually between the insurers and medical association - with the health authority being the arbitrator

c) The claim data can be used to set the fee guidelines.

d) Some conditions may be more serious than normal. The doctor or hospital can take the risk of the fluctuation and stick to the fee guidelines. They should not be allowed to charge extra. 

I understand that some country have adopted this approach. Japan comes to my mind. 

Tan Kin Lian


 


Quarrel between insurers and medical association
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This Today article explains the quarrel between the Life Insurance Association and the Singapore Medical Association over the use of exclusive panels for submitting claims under the integrated plans.
https://www.todayonline.com/explainer-why-singapore...

This problem is faced in many countries. It can be solved if there is a neutral party, e.g. the government, that sets the rules and enforces the rules.

Here are some ways to handle it:

a) Set fee guidelines for each type of medical condition that are claimable under the integrated plan

b) The fee guidelines can be negotiated annually between the insurers and medical association - with the health authority being the arbitrator

c) The claim data can be used to set the fee guidelines.

d) Some conditions may be more serious than normal. The doctor or hospital can take the risk of the fluctuation and stick to the fee guidelines. They should not be allowed to charge extra. 

I understand that some country have adopted this approach. Japan comes to my mind. 

Tan Kin Lian